AGENDA Project Overview History Goal and Objectives Methodology Guide Review Scope Organization Content Next Steps Implementation 3 4 2008 MFI Guide Review The 2008 goal was to develop a guidance document for hospitals to enhance the ability of Los Angeles County and its healthcar ID: 279831
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Mass Fatality Management Guide for Healthcare EntitiesSlide2
AGENDAProject OverviewHistoryGoal and Objectives
MethodologyGuide ReviewScopeOrganizationContentNext StepsImplementation3Slide3
4
2008 MFI Guide ReviewThe 2008 goal was to develop a guidance document for hospitals to enhance the ability of Los Angeles County and its healthcare partners to manage a surge in the number of decedents as a result of pandemic flu
outbreakDeveloped by EMS, Coroner and DPHSlide4
2011-2013 GOAL AND OBJECTIVES
Revise/Enhance GuideBrings in best practices/lessons learned Expanded throughout 2012Provides specific, tangible, and quantifiable recommendations Tested during Statewide exerciseProvides an accompanying online toolkit Expanded as part of vetting processAddresses the nexus between healthcare entities, and other local agencies in the fatality management planning processTested during Statewide Medical and Health ExerciseAddresses the legal and regulatory issues
4Slide5
Relevance to other MASS FATALITY resources
The 2008 version was consistently recognized as one of the best resources available on mass fatality management at the time of its release. It is regularly referenced in other jurisdictional mass fatality plansThe new version is a benchmark in mass fatality planning efforts4Slide6
METHODOLOGYIdentify Key Stakeholders
Project Oversight GroupInterviewees/SMEReviewersTimeline: September 2011 to January 20136Slide7
BASE AcknowledgementsOverview
Background, Scope, ObjectivesGuide Development ProcessHow to Use GuidePlan DevelopmentWriting the PlanTraining, ExerciseSpecial ConsiderationsActivationTiered Escalation LevelsLogistics, StaffingNotify StakeholdersJIT, Initial BriefingOperationNOK NotificationDecedent Identification, Processing, Transfer, TrackingDemobilizationSlide8
APPENDICES Community-wide Response Matrix
Key contactsHIPAASecurityInternet ResourcesRefrigeration Truck StorageMental and Behavioral Health ResourcesReligious and Cultural ResourcesFact SheetsGlossaryAcronyms8
ONLINE RESOURCES
Mass Fatality
Management Guide
for Healthcare Entities
Forms
Triage Tag Training
Mass Fatality Management
Plan
Template
Job
Action
Sheet
Guide Slide PresentationSlide9
KEY SECTION REVIEWPlan ActivationKey Position ChecklistPhysician-in-Charge Concept
Witness FormDecedent ProcessingDeath Certificates & CA-EDRSDecedent TrackingDecedent Handling and StorageCommunity-wide Response MatrixRefrigeration Truck StorageReligion and CultureFact SheetsSlide10
PLAN ACTIVATIONIdentify triggers for plan activation & escalationPlan activation likely in concert with
ICS activation Actions organized via six step processStaffing GuidelinesOrganized by facilities with/without morgues and escalation tierSlide11
KEY POSITION CHECKLISTDecedent Affairs Group Supervisor
Based on HICS, can (and should!) be tailored Developed as part of larger emergency response approachTasks in chronological orderSlide12
PHYSICIAN-IN-CHARGECertain physicians are designated to sign death certificates NOT for Coroner’s cases
Most MFIs involve Coroner casesMay pertain to widespread communicable disease eventsADMIN STAFFGather as much information as possible regarding patientWitness FormSlide13
DECEDENT PROCESSINGOrganized in two steps Step 1– Understand processStep 2 – Identify ways to expedite
Flow chart provided
DEATH CERTIFICATES AND CA-EDRS
Organized in two steps
Step 1– Understand & document death certificate parameters
Non-Coroner’s case process
Coroner’s case process
Step 2 – Identify ways to expedite
See Fact Sheets
Death Certificates
CA-EDRS
County Public AdministratorSlide14
DECEDENT TRACKINGOrganized in four steps Step 1 –
Understand tracking process for your facilityMCI ExampleStep 2 – Document processHospitals w/ ReddiNet MCI moduleHospitals w/o ReddiNet MCI moduleMedical ClinicsSNFsStep 3 – Identify ways to direct decedents to mortuariesStep 4 – Identify ways to accommodate NOK who cannot paySlide15
DECEDENT HANDLING AND STORAGEOrganized in four steps Step 1 – Determine your surge storage capacity
See Surge Storage Capacity AssessmentStep 2 – Ensure decedent handling processes are in placeStep 3 – Expand surge capacityPrimary morgueUnused service areasExternal morguesTemporary burial (ONLY when directed by Coroner)Step 4 – Ensure P&PSlide16
COMMUNITY-WIDE RESPONSE MATRIXHigh
-level roles/responsibilities matrixHealthcare partners, and local, State, Federal partnersTool for healthcare entity partners to enhance understanding of their role in a community-wide response Slide17
REFRIGERATION TRUCKS FOR STORAGECapacity
# of decedents that can be stored by truck sizeNOT for transportation – storage onlyIncrease capacity with shelvingProcurementCan procure ownCan request via NIMS/SEMSInformation to provideReimbursementRequesting facility to payHPPs MAY qualify for reimbursementSlide18
RELIGION AND CULTUREOrganized in two steps Step 1– Obtain and include information regarding death
practicesTailor for your populationSample material includedStep 2 – Confer with cultural and religious organizations in your area
FACT SHEETS
Death Certificates
CA-EDRS
Health risks
County Public Administrator
Recommendations
Considerations
DecompositionSlide19
NEXT STEPSGuide implementationSee Plan Development Section
Review existing policyReview GuideRevise facility mass fatality plan based on Guide9Slide20
Mass Fatality Management Guide for Healthcare Entities
Questions?
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